| NPI | 1578559399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NY 238493) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: NY 0023071) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2012-09-13 |